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1346708492
PROVIDENCE PAIN MANAGEMENT CENTER, PA
LAUREL, MD
NPI
1346708492
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Entity Type
Organization
Authorized Contact
AKARA FORSYTHE
CEO
301-750-9500
Organization Subpart ?
Yes
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2019-03-07
Last Update Date
2019-10-22
Business Address
PROVIDENCE PAIN MANAGEMENT CENTER, PA
14201 LAUREL PARK DR SUITE 223
LAUREL, MD 20707
Phone number: 301-798-9300
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Mailing Address
PROVIDENCE PAIN MANAGEMENT CENTER, PA
6911 LAUREL BOWIE RD SUITE 212
BOWIE, MD 20721
Phone number: 301-750-9500
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